Word: systemic
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...will we bring down costs? The problem with American health care, those who have studied the system will tell you, is not that we get too little care but that we use too much. By some estimates, as much as 30 cents of every health-care dollar is spent on medical treatment that is unnecessary, ineffective, duplicative or even harmful. Changing all that is going to require revamping health care from top to bottom, starting with the way health-care providers are reimbursed. While the current system pays them for the amount of care they provide, real reform would...
...there is an ideal out there, Baucus says, it can be seen in the kind of medicine already being practiced by Kaiser Permanente, the Mayo Clinic, Intermountain Healthcare and Geisinger Health System, which manage to hold down costs and get better results. Their operations have fostered closer teamwork among care providers. Also important will be electronic record-keeping that saves time and avoids errors, and comparative-effectiveness research that gives doctors and patients a better sense of which treatments work best. And a reformed health-care system would put more emphasis on preventive care and managing such chronic conditions...
...this country really afford to reform health care? What everyone seems to have concluded in the past five years is that we can't afford not to. When Washington punts on health care, it only becomes more difficult to fix the system the next time it tries. "The reason why we're going to pass it," Baucus says, "is we're not going to have this opportunity again...
...overseas military. In an average month, between 600 and 800 new patients are admitted, landing on planes at nearby Ramstein Air Force Base. Since the initial U.S. invasion of Afghanistan in 2001, the hospital has treated 10,820 battle wounded. While Obama toured the grounds, the public-address system played a children's nursery chime. It signaled that a woman at the hospital had just given birth; soldiers say it happens all the time. (See pictures of Buchenwald concentration camp at LIFE.com...
...none of that makes any more palatable - or defensible in international law - the idea that the world's worst humanitarian disaster continues to unfold within sight of its most international military force. "Somehow the rights of ordinary Somalis seem not to count in the international system," says Alex de Waal, program director at the Social Science Research Council in New York. "The Somali issue is framed entirely in terms of other political agendas...